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General NPI Number Information
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NPI Number | 1518941657
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Entity Type | Organization
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Legal Business Name | MOUNT MACRINA MANOR NURSING HOME
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 520 W MAIN ST
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City | UNIONTOWN
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State | PA
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Zip | 15401-2602
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Country | US
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Telephone | 724-437-1400
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Fax | 724-430-1095
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Provider Business Mailing Address
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Address Line | 520 W MAIN ST
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City | UNIONTOWN
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State | PA
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Zip | 15401-2602
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Country | US
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Telephone | 724-437-1400
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Fax | 724-430-1095
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOLYNN MEYERS
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Credential | NHA
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Telephone | 724-430-1109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 394102
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License Number State | PA
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